Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.86 / $1,365.95 / $7,407.00	Facility		$419.86	$1,365.95	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $461.18 / $959.36	Professional		$398.65	$461.18	$959.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.27 / $590.38 / $664.17	Professional		$544.27	$590.38	$664.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.69 / $5,232.51 / $10,757.81	Facility		$2,807.69	$5,232.51	$10,757.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.07 / $762.00 / $921.05	Professional		$551.07	$762.00	$921.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.14 / $664.17 / $934.76	Professional		$477.14	$664.17	$934.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.65 / $773.64 / $1,635.32	Professional		$482.65	$773.64	$1,635.32
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.41 / $570.40 / $639.57	Professional		$512.41	$570.40	$639.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $737.97	Professional		$32.34	$32.34	$737.97
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.07 / $584.36 / $1,051.85	Professional		$465.07	$584.36	$1,051.85